CPT 34704 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 34704 |
| Medicaid Fee Schedule | View Medicaid rates for 34704 |
National average reimbursement for CPT 34704 by major payers:
$3,040.61
$3,236.18
$3,195.91
$3,623.76
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 34704 | $496.00 | 1477724250 - THE PHYSICIANS ROME SURGERY CENTER | 205942007 - (GA) THE PHYSICIANS ROME SURGERY CENTER | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $200.00 | 1881770592 - ST GEORGE SURGICAL CENTER LP | 521797779 - (UT) ST. GEORGE SURGICAL CENTER | UT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $150.00 | 1396142733 - DIALYSIS ACCESS SERVICES, LLC | 472322456 - (MD) DIALYSIS ACCESS SERVICES LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $425.00 | 1992970230 - PARK CENTER FOR PROCEDURES LLC | 200467903 - (FL) PARK CENTER FOR PROCEDURES LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $900.00 | 1346210259 - SURGICARE LLC | 351975122 - (IN) SURGICARE LLC | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $1353.00 | 1710321328 - VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC | 800864336 - (CA) VALLEY PHYSICIANS SURGERY CENTER OF NORTHRIDGE LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $1049.00 | 1750499950 - MEDPLEX OUTPATIENT SURGERY CENTER LTD, MEDPLEX OUTPATIENT SURGERY CENTER | 760353620 - (AL) MEDPLEX OUTPATIENT SURGERY CENTER LTD | AL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $280.00 | 1265404669 - NORTH RIVER SURGERY CENTER, LLC | 710799771 - (AR) NORTH RIVER SURGERY CENTER LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $426.00 | 1386820694 - URO-CENTER AMBULATORY SURGICAL CENTER LLC | 522267795 - (MD) UROCENTER AMBULATORY SURGICAL CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $7400.00 | 1609051515 - INDIANA ENDOSCOPY CENTERS LLC, INDIANA ENDOSCOPY CENTER | 208398421 | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $865.00 | 1376774208 - DIGESTIVE DISEASES DIAGNOSTIC & TREATMENT CENTER LLC | 261319443 - (NY) DIGESTIVE DISEASES DIAGNOSTIC TREATMENT CENTER LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $651.00 | 1184844607 - SPECIALTY CARE AND SURGERY CENTER | 954176904 - (CA) PAULA R. DHANDA, MD | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $417.00 | 1467582437 - NORTH FLORIDA SURGERY CENTER INC, NORTH FLORIDA SURGERY CENTER | 593377918 - (FL) NORTH FLORIDA SURGERY CENTER INC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $376.00 | 1962500454 - BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION | 330655856 - (CA) BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 34704 | $599.00 | 1407223019 - VALLEY OUTPATIENT SERVICES, LLC | 474866031 | VA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 34704 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34704 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 34704 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 34703-CPT | High | Evasc Rpr A Unilac Ndgft, Endovascular Repair Of Infrarenal Aorta And Or Iliac Artery Ies By Deployment Of An Aorto Uni Iliac Endograft Including Pre Procedure Sizing And Device Selection All Nonselective Catheterization S All Associated Radiological Supervision And Interpretation All Endograft Extension S Placed In The Aorta From The Level Of The Renal Arteries To The Iliac Bifurcation And All Angioplasty Stenting Performed From The Level Of The Renal Arteries To The Iliac Bifurcation For Other Than Rupture Eg For Aneurysm Pseudoaneurysm Dissection Penetrating Ulcer |
| 34704-CPT | High | Evasc Rpr A Unilac Ndgft Rpt, Endovascular Repair Of Infrarenal Aorta And Or Iliac Artery Ies By Deployment Of An Aorto Uni Iliac Endograft Including Pre Procedure Sizing And Device Selection All Nonselective Catheterization S All Associated Radiological Supervision And Interpretation All Endograft Extension S Placed In The Aorta From The Level Of The Renal Arteries To The Iliac Bifurcation And All Angioplasty Stenting Performed From The Level Of The Renal Arteries To The Iliac Bifurcation For Rupture Including Temporary Aortic And Or Iliac Balloon Occlusion When Performed Eg For Aneurysm Pseudoaneurysm Dissection Penetrating Ulcer Traumatic Disruption |
| 34705-CPT | High | Evac Rpr A Biiliac Ndgft, Endovascular Repair Of Infrarenal Aorta And Or Iliac Artery Ies By Deployment Of An Aorto Bi Iliac Endograft Including Pre Procedure Sizing And Device Selection All Nonselective Catheterization S All Associated Radiological Supervision And Interpretation All Endograft Extension S Placed In The Aorta From The Level Of The Renal Arteries To The Iliac Bifurcation And All Angioplasty Stenting Performed From The Level Of The Renal Arteries To The Iliac Bifurcation For Other Than Rupture Eg For Aneurysm Pseudoaneurysm Dissection Penetrating Ulcer |
| 34812-CPT | Moderate | Open Large Artery For Repair, Surgery To Open A Large Artery In The Groin (Femoral Artery) Abdomen (Iliac Artery) Or Arm (Brachial Artery) To Insert A Support Device (Stent). The Stent Stabilizes Or Bypasses A Bulge (Aneurysm) Or Ruptured Segment Of The Artery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34704. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34704 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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